Internal medicine

Radiology

Heart failure

Work-up

Acute myocarditis

Gold standard (test)

Complication

Cardiology

Dilated cardiomyopathy

Biopsy

Cardiomyopathy

Myocarditis

Endomyocardial biopsy

Medicine

Journal of Cardiovascular Development and Disease

Endomyocardial biopsy (EMB) is a well-known diagnostic tool for the investigation and treatment of myocardial diseases and remains the gold standard for the diagnosis of myocarditis. Due to its invasiveness, with a complication rate ranging from 1 to 15%, its role in the diagnostic work-up of pediatric heart failure is not well established. The aim of this review is to define the role of EMB as diagnostic technique in the work up of children presenting with severe left ventricular dysfunction with the support of our center experience.

Endomyocardial Biopsy in Pediatric Myocarditis and Dilated Cardiomyopathy: A Tool in Search for a Role